Deck 34: Transient Tachypnea of the Newborn

Question 1

MATCHING
The clinical scenarios associated with respiratory diseases result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Transient Tachypnea Of The Newborn (TTN).
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Answer 1

YES-This is associated with TTN.

Question 2

Identify the major anatomic alterations of the lungs associated with TTN.
Compression of great veins

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Answer 2

NO-This is not associated with TTN.

Question 3

Identify the major anatomic alterations of the lungs associated with TTN.
Alveolar consolidation

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Answer 3

NO-This is not associated with TTN.

Question 4

Identify the major anatomic alterations of the lungs associated with TTN.
Honeycombing and cavity formation

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 5

MATCHING
The clinical scenarios associated with respiratory diseases result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Transient Tachypnea Of The Newborn (TTN).
Atelectasis Clinical Scenario

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 6

Identify the major anatomic alterations of the lungs associated with TTN.
Hyaline membrane formation

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 7

MATCHING
The clinical scenarios associated with respiratory diseases result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Transient Tachypnea Of The Newborn (TTN).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 8

Identify the major anatomic alterations of the lungs associated with TTN.
Granulomas

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 9

MATCHING
The clinical scenarios associated with respiratory diseases result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Transient Tachypnea Of The Newborn (TTN).
Bronchospasm Clinical Scenario

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 10

Identify the major anatomic alterations of the lungs associated with TTN.
Bronchospasm

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 11

MATCHING
The clinical scenarios associated with respiratory diseases result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Transient Tachypnea Of The Newborn (TTN).
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 12

Identify the major anatomic alterations of the lungs associated with TTN.
Interstitial edema

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 13

Identify the major anatomic alterations of the lungs associated with TTN.
Destruction of alveoli and adjacent pulmonary capillaries

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 14

Identify the major anatomic alterations of the lungs associated with TTN.
Distal airway and alveolar weakening

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 15

Identify the major anatomic alterations of the lungs associated with TTN.
Alveolary hyperinflation

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 16

Identify the major anatomic alterations of the lungs associated with TTN.
Fibrotic thickening of the alveoli

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 17

MATCHING
The clinical scenarios associated with respiratory diseases result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Transient Tachypnea Of The Newborn (TTN).
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 18

Identify the major anatomic alterations of the lungs associated with TTN.
Atelectasis

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 19

Identify the major anatomic alterations of the lungs associated with TTN.
Pulmonary capillary congestion

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 20

Identify the major anatomic alterations of the lungs associated with TTN.
Hypoxia-induced pulmonary vasospasm and vasoconstiction

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 21

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
MVV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 22

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEF_50%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 23

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FRC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 24

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
PEFR

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 25

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
V_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 26

Identify the major anatomic alterations of the lungs associated with TTN.
Bronchopleural fistulae

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 27

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEF _200-1200

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 28

Identify the major anatomic alterations of the lungs associated with TTN.
Frothy white (or pink) bronchial secretions

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 29

Identify the major anatomic alterations of the lungs associated with TTN.
Chronic dilation and distortion of bronchial airways

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 30

Identify the major anatomic alterations of the lungs associated with TTN.
Excessive bronchial secretions and incomplete absorption of pulmonary fluids

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 31

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
TLC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 32

Identify the major anatomic alterations of the lungs associated with TTN.
Hilar lymph node calcifications

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 33

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
RV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 34

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
IC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 35

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FVC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 36

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
VC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 37

Identify the major anatomic alterations of the lungs associated with TTN.
Pulmonary infarction

A)YES-This is associated with TTN.
B)NO-This is not associated with TTN.

Question 38

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEF _25%-75%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 39

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEV_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 40

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
ERV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 41

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
RV/TLC %

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 42

In the newborn with TTN, match what develops in the oxygen indices to the items listed below. Items may be used once, more than once, or not at all.
O₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 43

In the newborn with TTN, match what develops in the oxygen indices to the items listed below. Items may be used once, more than once, or not at all.
_S/ _T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 44

Match the arterial blood gas changes that develop in the advanced stages of TTN to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 45

In the newborn with TTN, match what develops in the oxygen indices to the items listed below. Items may be used once, more than once, or not at all.
DO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 46

In the newborn with TTN, match what develops in the oxygen indices to the items listed below. Items may be used once, more than once, or not at all.
SVO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 47

Infants with TTN typically demonstrate a fast and swallow breathing pattern.

Question 48

Match the arterial blood gas changes that develop in mild to moderate TTN to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 49

In the newborn with TTN, match what develops in the oxygen indices to the items listed below. Items may be used once, more than once, or not at all.
O₂ER

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 50

Next to the pulmonary function studies, match the findings listed that typically develop in the newborn who has TTN (when airways are not partially obstructed). Items may be used once, more than once, or not at all.
FEV_1%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 51

In the newborn with TTN, match what develops in the oxygen indices to the items listed below. Items may be used once, more than once, or not at all.
C(a-v)

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 52

The clinical manifestations of respiratory distress usually disappear within 12 to 24 hours.

Question 53

Match the arterial blood gas changes that develop in the advanced stages of TTN to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 54

TTN is also called type II respiratory distress syndrome.

Question 55

Match the arterial blood gas changes that develop in mild to moderate TTN to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 56

Match the arterial blood gas changes that develop in the advanced stages of TTN to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal

Question 57

The typical baby with TTN has a good APGAR score at birth.

Question 58

TTN is more common in female infants.

Question 59

Match the arterial blood gas changes that develop in mild to moderate TTN to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal